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HFPP White Papers

The Healthcare Fraud Prevention Partnership (HFPP) is constantly looking for ways to use the power of our combined resources to educate, inform, and improve our partners’ efforts to detect and prevent fraud, waste and abuse. The HFPP creates white papers to inform the public about pertinent issues that impact payers, providers, and patients.

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NHCAA Releases 2017 Year-in-Review

NHCAA distributed the Association's 2017 Year-in-Review highlighting the past year's successes and accomplishments, confirming once again that the Association provides our members, partners, and the industry with a range of effective resources to improve and strengthen the fight against health care fraud.

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NHCAA Comments on Proposed Changes to MLR Under Medicare Parts C & D

The Centers for Medicare and Medicaid Services (CMS) has proposed significant changes to how medical loss ratio is calculated and reported for Medicare Advantage and Part D plans. If made final, the rule would expand the definition of Quality Improvement Activities (QIA) to include fraud reduction activities, including fraud prevention, fraud detection, and fraud recovery. NHCAA submitted a letter of support.

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Medical Identity Theft

The Office of Inspector General recently released some helpful information and resources on medial identity theft. View the OIG website for more details.

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DOJ Announces Opioid Fraud and Abuse Detection Unit, Followed by Large Drug Diversion Case

On August 2, 2017, Attorney General Jeff Sessions announced the formation of an Opioid Fraud and Abuse Detection Unit as a new Department of Justice (DOJ) pilot program to “utilize data to help combat the devastating opioid crisis that is ravaging families and communities across America.” The new unit will focus on identifying and prosecuting people who contribute to the nation’s prescription opioid fraud and abuse epidemic.

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